Education ~ Enlightenment ~ Empowerment

Pyroluria Questionnaire from The Antianxiety Food Solution

By Trudy Scott

This questionnaire will help you identify whether you might have pyroluria, a social anxiety condition. The physical and emotional symptoms below are caused by deficiencies of vitamin B6 and zinc. When you experience high levels of stress, vitamin B6 and zinc will be further depleted, so you may notice worsening symptoms and more anxiety.

Based on my review of questionnaires and results of pyroluria tests for hundreds of clients, I’ve grouped the most common or classic signs and symptoms first. I’ve also labeled the symptoms that could be directly related to low levels of vitamin B6 or zinc so you can individualize your supplements and dosages. Symptoms without these designations are due to a deficiency of both vitamin B6 and zinc. Check off any of the following signs or symptoms that apply to you:

Most Common Signs and Symptoms

1. Being anxious, shy, or fearful or experiencing inner tension since childhood, but hiding these feelings from others 2. Having bouts of depression or nervous exhaustion 3. Poor dream recall, stressful or bizarre dreams, or nightmares (low vitamin B6) 4. Excessive reactions to tranquilizers, barbiturates, alcohol, or other drugs, in which a little produces a powerful response (low vitamin B6) 5. Preferring not to eat breakfast, experiencing light nausea in the morning, or being prone to motion sickness (low vitamin B6) 6. White spots or flecks on the fingernails or opaquely white or paper-thin nails (low zinc) 7. Liquid zinc sulfate having a mild taste or tasting like water (low zinc) 8. Poor appetite or having a poor sense of smell or taste (low zinc) 9. Joints popping, cracking, or aching; pain or discomfort between the shoulder blades; or cartilage problems (low zinc) 10. Pale or fair skin or being the palest in the family, or sunburning easily, now or when younger 11. Disliking protein or having ever been a vegetarian or vegan 12. Being sensitive to bright sunlight or noise 13. Upper abdominal pain on your left side under the ribs or, as a child, having a stitch in your side as you ran 14. Frequent fatigue 15. Being prone to iron anemia or low ferritin levels 16. Tending to have cold hands or feet 17. Having frequent colds or infections, or unexplained chills or fever 18. Reaching puberty later than normal or having irregular menstruation or PMS 19. Having allergies, adrenal issues, or problems with sugar metabolism 20. Having gluten sensitivity 21. Neurotransmitter imbalances, especially low serotonin 22. For women, belonging to an all-girl family or having look-alike sisters 23. For men, having a mother from an all-girl family or a mother with look-alike sisters, or all the females in the mother’s family bearing a strong resemblance to each other 24. Avoiding stress because it upsets your emotional balance 25. Tending to become dependent on one person whom you build your life around 26. Preferring the company of one or two close friends rather than a gathering of friends; becoming more of a loner as you age 27. Feeling uncomfortable with strangers 28. Being bothered by being seated in the middle of the room in a restaurant 29. Being easily upset by criticism

Less Common Signs and Symptoms

30. Stretch marks or poor wound healing (low zinc) 31. Crowded upper front teeth, many cavities, or inflamed gums or wearing braces (low zinc) 32. Bad breath and body odor (or a sweet, fruity odor), especially when ill or stressed (low zinc) 33. Being prone to acne, eczema, herpes, or psoriasis 34. Reduced amount of hair on your head, eyebrows, or eyelashes, or prematurely gray hair 35. Difficultly recalling past events and people in your life 36. Focusing internally, on yourself, rather than on the external world 37. Tending to have morning constipation 38. Tingling sensations or muscle spasms in your legs or arms 39. Feeling stressed by changes in your routine, such as traveling or being in new situations 40. Your face looking swollen when you’re under a lot of stress 41. Cluster headaches or blinding headaches 42. One or more of the following: a psychiatric disorder, schizophrenia, high or low histamine, alcoholism, learning and behavioral disorders, autism, or Down syndrome

If you check off 15 or more items, especially the more common ones, it’s highly probable that you have pyroluria and will benefit from taking zinc and vitamin B6 supplements. I encourage you to be tested, but if this isn’t possible, or even if you don’t have pyroluria, supplementing with zinc and vitamin B6 may be worthwhile if you have a large number of these symptoms.

This questionnaire is based on my experience working with many clients with pyroluria, along with information from Depression-Free Naturally(2001), by Joan Mathews-Larson, Nutrition and Mental Illness (1987), by Carl Pfeiffer, and Natural Healing for Schizophrenia and Other Common Mental Disorders (2001), by Eva Edelman.

I start my clients with zinc (30 mg), vitamin B6 (100mg) or P5P (25mg) and evening primrose oil (1300mg), plus a good multi-vitamin (with manganese and no copper) and a multi-mineral and sometimes additional magnesium.

For the zinc I have found Opti-zinc (Solaray is a good brand that doesn’t have copper) to be very well absorbed by most of my clients. Using the liquid zinc sulfate/zinc status test is a useful way to assess your zinc levels (see link below).

We increase zinc based on the zinc test and the vitamin B6 based on dream recall. And obviously social anxiety symptoms too.

This questionnaire and information is taken from chapter 7 of The Antianxiety Food Solution:How the Foods You Eat Can Help You Calm Your Anxious Mind, Improve Your Mood and End Cravings, available in major books stores and via Amazon. You can read more about the book here. You can find more detailed information in chapter 7.

11/5/2013 update – since doing this post, I’ve done a number of other posts related to zinc, vitamin B6, pyroluria and even introversion and I am including links to some of them here:

The comments on the posts about anxious introverts and the possible connection to pyroluria and/or low zinc and low vitamin B6 have been enlightening to say the least! Additional comments and feedback is always appreciated.